Beliefs and Preferences of Having Elective Caesarean Delivery Among Female Attendees to Primary Care Centers in Dhahran, Saudi Arabia
Noura Al-Mousa, Ph.D.
Armed Forces Hospital, Saudi Arabia
The influence of women's birth preferences on the rising cesarean section rates is uncertain and possibly changing. This study relating to women's request for cesarean delivery explores assumptions related to the social, cultural, and political-economic contexts of maternity care and decision making. The maternal request drew the attention to explain the factors behind the escalating percentages of the women who prefer to undergone elective CS .
Objectives of this study are：
(1 ) To determine knowledge and believes about caesarean sections among women attending primary health care centers in the Eastern Province.
(2 )To determine the factors influencing their decision to undergo caesarian section;
Methodology : A Cross sectional study conducted on the women attending primary health care center(PHCC).386 questionnaire was collected using a pre-designed self administered questionnaire includes Socio-demographic characteristics, number of children ,Items and statements reflecting knowledge and believes of the women towards the elective Caesarean section.
Results: It was found that 157 (58.4%) of the women had previous CS, and two thirds of them was done without definite medical indication. Furthermore, about half of the women (49.7%) indicated that they agree to undergo CS in the future. It was found that the percentage of those who agree to undergone CS in the future was significantly increasing with the age 83.7% among those aged 40+ years. Also, the percentage was almost doubled among those who have university qualifications (66.9%). Similarly, the percentages were increasing consistently with increased monthly income 56% among those with monthly income >10000 SR. most common sources of information for the women about caesarean section were the family and friends (41.6%) and the own accepted experience (30.7%). Whereas physicians constituted only 7.6% . 38.9% of them the choice of CS was their own decision, and 28.7% took the decision supported by their treating physicians, and 14.4% were supported by their husbands. (32.5%) of the women who had undergone caesarean section they had been exposed to pressure while taking their decision where the main source of these pressures which was the family members (54.5%), and the least to were the treating physicians (5.5%). most commonly agreed factor among women for choice of caesarean section is the previous history of CS among relatives and friends (76.4%), and experience of the operating physician (74.5%), followed by the nature of CS being less painful than that encountered on vaginal delivery (68.8%). While the least agreed factor is the impact of CS on keeping the marital relationship. Factor discouraging the choice of caesarean section was its complication on the mother (75.3%), followed by being less rewarding than vaginal delivery (73.1%), and leaving unpleasant skin mark (60.3%). On the other side, the least recorded discouraging factor for choice of CS is being has more complications for the mothers.
Conclusion: The psychosocial context of obstetric care and decision reveals a powerful imbalance. Hence attention should be directed towards the mental health care improvement of the female in the community in the childbearing age. Health Care providers and childbirth educators need to become familiar with the social influences impacting women's decisions for mode of delivery so that truly informed choice discussions can be undertaken. Research into decision making that does not account for the way care is offered, observe interactions between women and practitioners, and analyze the context of Psychological care should be interpreted with caution.